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Case Reports
. 2012 Sep;3(3):356-9.
doi: 10.1159/000343705. Epub 2012 Oct 23.

Cytomegalovirus retinitis after multiple ocular surgeries in an immunocompetent patient

Koji Toriyama  1 , Takashi Suzuki, Yuko Hara, Yuichi Ohashi
Affiliations
Case Reports

Cytomegalovirus retinitis after multiple ocular surgeries in an immunocompetent patient

Koji Toriyama et al. Case Rep Ophthalmol. 2012 Sep.

Abstract

Purpose: To describe the case of a 74-year-old man who developed cytomegalovirus (CMV) retinitis after multiple ocular surgeries.

Methods: Observational case report.

Results: A 74-year-old man who had a history of multiple ocular surgeries developed unilateral retinitis with whitening of the entire peripheral retina. A presumptive diagnosis of viral retinitis was considered, and polymerase chain reaction of the aqueous fluid was positive for CMV DNA. Laboratory examination revealed that the patient was completely immunocompetent. Moreover, the patient did not have any subtenon or intravitreal injection of triamcinolone acetonide (TA). The patient responded well to intravenous ganciclovir and oral valganciclovir.

Conclusion: CMV retinitis can occur to immunocompetent patients without local immunosuppression with TA injection.

Keywords: Cytomegalovirus retinitis; Immunocompetent patient; Multiple ocular surgeries.

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Figures

Fig. 1
Fig. 1
Fundus photograph of the right eye. Confluent retinitis with whitening of the entire peripheral retina was observed. The optic nerve was atrophic due to glaucoma.
Fig. 2
Fig. 2
Fluorescein angiography of the right eye. Dye leakage was observed corresponding with retinal white lesion, and retinal blood flow was severely reduced due to retinal atrophy caused by multiple ocular surgeries.
Fig. 3
Fig. 3
Fundus photograph after treatment. The whitened retinal area had disappeared. No inflammation was observed during the follow-up period.
See this image and copyright information in PMC

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